<!doctype html>
<html>
<head>
	<meta charset="utf-8">
	<meta name="renderer" content="webkit">
	<link type="text/css" rel="stylesheet" href="{$Think.config.static_url}/company/css/core.css"/>
	<link type="text/css" rel="stylesheet" href="{$Think.config.static_url}/company/css/iconfont.css"/>
	<link type="text/css" rel="stylesheet" href="{$Think.config.static_url}/company/css/test.css"/>
	<script src="{$Think.config.static_url}/company/js/jquery-1.8.3.min.js"></script>
	<script type="text/javascript" src="{$Think.config.static_url}/company/js/jQuery.print.js"></script>
	<style>
		body {height: auto;}	
	</style>
	<script>
		function dy() {
			$(".submit").hide();
			$('body').print();
			$(".submit").show();
		}
	</script>

	<link rel="stylesheet" href="{$Think.config.static_url}/company/css/bootstrap.css">
	<link rel="stylesheet" href="{$Think.config.static_url}/company/css/common.css">
	<link rel="stylesheet" href="{$Think.config.static_url}/company/css/style.css">

	<script src="{$Think.config.static_url}/company/js/bootstrap.js" charset="utf-8"></script>
	<script src="{$Think.config.static_url}/company/js/index.js" charset="utf-8"></script>
	<title>人工检验</title>
</head>

<body>
	
	<div class="container">
		<h1 class="head_title">机动车牌证申请表</h1>
		<table class="form-horizontal text-center car_table">
			<tr>
				<td colspan="2">号牌种类</td>
				<td colspan="2">
					<input type="text" class="form-control" value="{$info.license_typename}">
				</td>
				<td>号牌号码</td>
				<td colspan="2">
					<input type="text" class="form-control" value="{$info.license_number}">
				</td>
			</tr>
			<tr>
				<td colspan="2">申请事项</td>
				<td colspan="2" class="border_right">
					<input type="text" class="form-control">
				</td>
				<td class="border_left border_right">(申请检车合格标志)</td>
				<td colspan="2" class="border_left">
					<input type="text" class="form-control">
				</td>
			</tr>
			<!-- 号牌 -->
			<tr>
				<td rowspan="2" class="row_title">号<br>牌</td>
				<td class="row_check">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>补领</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>丢失</label>
				</td>
				<td class="border_right border_left td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>灭失</label>
				</td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>1面</label>
				</td>
				<td class="border_left td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>2面</label>
				</td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>换领</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>损坏1面</label>
				</td>
				<td class="border_left border_right"></td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>损坏2面</label>
				</td>
				<td class="border_left"></td>
			</tr>
			<!-- 行驶证 -->
			<tr>
				<td rowspan="2" class="row_title">行<br>驶<br>证</td>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>补领</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>丢失</label>
				</td>
				<td class="border_left border_right"></td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>灭失</label>
				</td>
				<td class="border_left"></td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>换领</label>
				</td>
				<td colspan="4"></td>
			</tr>
			<!-- 登记证书 -->
			<tr>
				<td rowspan="3" class="row_title">登<br>记<br>证<br>书</td>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>申领</label>
				</td>
				<td colspan="4"></td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>补领</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>丢失</label>
				</td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>灭失</label>
				</td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>未获得</label>
				</td>
				<td class="border_left"></td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>换领</label>
				</td>
				<td colspan="4"></td>
			</tr>
			<!-- 检验合格证 -->
			<tr>
				<td rowspan="3" class="row_title">检<br>验<br>合<br>格<br>标<br>志</td>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard icon-fuxuankuang1 y_nn"></span>
					<label>申请</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard icon-fuxuankuang1 y_nn"></span>
					<label>在登记地车辆管理所申请</label>
				</td>
				<td class="border_left border_right"></td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>在登记地以外车辆管理所申请</label>
				</td>
				<td class="border_left"></td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>补领</label>
				</td>
				<td class="border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>丢失</label>
				</td>
				<td class="border_left border_right"></td>
				<td class="border_left border_right td_center">
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>灭失</label>
				</td>
				<td class="border_left"></td>
			</tr>
			<tr>
				<td>
					<span type="checkbox" class="iconfont icon-Artboard y_nn"></span>
					<label>换领</label>
				</td>
				<td colspan="4"></td>
			</tr>
			<!-- 机动车所有人 -->
			<tr>
				<td rowspan="4" class="row_title">机<br>动<br>车<br>所<br>有<br>人</td>
				<td>
					姓名/名称
				</td>
				<td colspan="3">
					<input type="text" class="form-control" value="{$info.user_name}">
				</td>
				<td rowspan="2" class="font_only">
					机动车所有人及<br> 代理人对申请材料的
					<br> 真实有效性负责
				</td>
			</tr>
			<tr>
				<td>
					邮寄地址
				</td>
				<td colspan="3">
					<input type="text" class="form-control" value="">
				</td>

			</tr>
			<tr>
				<td>
					邮政编码
				</td>
				<td>
					<input type="text" class="form-control" value="">
				</td>
				<td>
					固定电话
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
				<td rowspan="2" class="text-left">
					<label>机动车所有人签字：</label><br>
					<input type="text" class="form-control"><br>
					<input type="text" class="data" value="{$time}" style="width: 150px;">

				</td>
			</tr>
			<tr>
				<td>
					电子信箱
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
				<td>
					移动电话
				</td>
				<td>
					<input type="text" class="form-control" value="{$mobile}">
				</td>
			</tr>
			<!-- 代理人 -->
			<tr>
				<td rowspan="5" class="row_title">代<br>理<br>人</td>
				<td>
					姓名/名称
				</td>
				<td colspan="3">
					<input type="text" class="form-control">
				</td>
				<td class="text-left border_bottom">
					<label>代理人签字：</label>
				</td>
			</tr>
			<tr>
				<td>
					邮寄地址
				</td>
				<td colspan="3">
					<input type="text" class="form-control">
				</td>
				<td rowspan="3" class="border_top border_bottom" style="vertical-align:top !important;">
					<input type="text" class="form-control">
				</td>
			</tr>
			<tr>
				<td>
					邮政编码
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
				<td>
					联系电话
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
			</tr>
			<tr>
				<td>
					电子信箱
				</td>
				<td colspan="3">
					<input type="text" class="form-control">
				</td>
			</tr>
			<tr>
				<td>
					经办人姓名
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
				<td>
					联系电话
				</td>
				<td>
					<input type="text" class="form-control">
				</td>
				<td class="border_top">
					<input type="text" class="data">年
					<input type="text" class="data">月
					<input type="text" class="data">日
				</td>
			</tr>
		</table>
	</div>

	<div class="submit">
		<button id='print' onclick="dy();">打印</button>
	</div>
	<script>
		$(function() {
			var tag = 0;
			$(".test table i").click(function() {
				if (tag == 0) {
					$(this).addClass("icon-jianhao");
				}
				if (tag == 1) {
					$(this).addClass("icon-close");
				};
				tag++;
				if (tag == 3) {
					$(this).removeClass("icon-jianhao icon-close");
					tag = 0;
				}
			})

		})
	</script>
</body>
</html>
